Active NPI
South Suburban Obstetrics &
- Obstetrics & Gynecology Physician
- Oak Forest, IL
National Provider Identifier
1215066162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- SOUTH SUBURBAN OBSTETRICS &
- Practice address
- 5320 159TH St
Suite 102
Oak Forest, IL 60452-4705 - Phone
- (708) 687-7373
- NPI assigned
- Mar 5, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sun C Kim, M.D.
- Title
- Physician
- Phone
- (708) 687-7373
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | Primary |
Addresses
Primary practice location
5320 159TH St
Suite 102
Oak Forest, IL 60452-4705
Mailing address
5320 159TH St
Suite 102
Oak Forest, IL 60452-4705
Phone (708) 687-7373
National Provider Directory
National Provider DirectoryLocations
5320 159th St
Ste 102
Oak Forest, IL 60452
Phone (708) 687-7373
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173052800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1196985600000",
"number": "1215066162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5320 159TH ST",
"address_2": "SUITE 102",
"city": "OAK FOREST",
"state": "IL",
"postal_code": "604524705",
"telephone_number": "708-687-7373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5320 159TH ST",
"address_2": "SUITE 102",
"city": "OAK FOREST",
"state": "IL",
"postal_code": "604524705",
"telephone_number": "708-687-7373"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTH SUBURBAN OBSTETRICS &",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-05",
"last_updated": "2007-12-07",
"status": "A",
"authorized_official_last_name": "KIM",
"authorized_official_first_name": "SUN",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "708-687-7373",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oak Forest, IL
- Kareema Siddiqui
- Erica Sidenstick, LSW, CADC
- Ranjit Sigamony, M.D
- Vladislav Souboch, OD
- South Suburban Multi Specialty Group LTD
- Southwest Cook County Cooperative Assn for Special Education
- Christopher Ryan Speaker, APN, FNP-BC
- Christine Kathleen Stanoch, LCPC
- Susan K Steephen, PHARMD
- Gregory Nelson Stern, D.D.S.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.